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Edward Didomenico, LPN
Licensed Practical Nurse in Cicero, New York
NPI 1134266117

Edward Didomenico is a Licensed Practical Nurse based in Cicero, NY. Edward Didomenico practices in Cicero, NY and has the professional credentials of LPN. The NPI Number for Edward Didomenico is 1134266117 and holds a License No. 271653 (New York).

The current practice location address for Edward Didomenico is 5972 Pony Ln, Cicero, NY and can be reached out via phone at 315-699-4002.

Location: 5972 Pony Ln, Cicero, NY, 13039-9046
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134266117
Provider Name
Edward Didomenico
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
5972 Pony Ln, Cicero, NY, 13039-9046
Phone Number
315-699-4002
Fax Number
Provider Enumeration Date
01/31/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02557133 05 NY
institution
Provider Business Practice Location Address Details
Address
5972 Pony Ln
City
Cicero
State
New York
Zip
13039-9046
Phone Number
315-699-4002
Fax Number
person
Provider Business Mailing Address Details
Address
5972 Pony Ln
City
Cicero
State
New York
Zip
13039-9046
Phone Number
315-699-4002
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
271653 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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